Bumecard 5mg (Tablet)
Manufactured by: Incepta Pharmaceuticals Ltd.
Bumetanide Similar medicine
Bumecard is indicated for
- 高血壓、心臟衰竭、水腫、腎病症候群
Precautions and warnings
懷孕、哺乳嬰兒的婦女、定期監測電解質（特別是鉀、鈣和鎂），如果發生低血鉀，則服用鉀補充劑/保鉀利尿劑。 應監測血糖、BUN、肌酸酐水平以及血球計數。 對磺胺類藥物過敏。 洋地黃治療的 CHF 患者、失鉀腎病變、肝硬化和腹水以及腹瀉。
Side-effects
- 肌肉痙攣、頭暈、低血壓、頭痛、噁心、聽力受損、搔癢、心電圖改變、肌肉骨骼疼痛、皮疹、胸部不適、腎衰竭、早洩、血小板減少、低血鉀、低鎂血症、低鈉血症、高尿酸血症、高血糖、低血鈣。 可能致命：腦病變（患有既往肝病的患者）。
Drug Interactions
丙磺舒具有利尿和利鈉作用。 吲哚美辛會阻斷布美他尼的作用，因此與抗高血壓藥物一起服用會增加姿勢性低血壓的風險。
與耳毒性藥物（如氨基糖苷類藥物和腎毒性藥物）同時使用可能是致命的。 透過腎臟的鋰排泄減少。
Contraindications
過敏症、腎衰竭和無尿、肝昏迷和嚴重電解質缺乏都是過敏的症狀。
Mode of actions
布美他尼透過阻止水和電解質（鈉和氯化物）在亨利升袢和近端腎小管中被重吸收而引起利尿。
Dosage & Administration
成人：PO 水腫 1 mg，每日一次，如果需要，可在 6-8 小時後服用第二劑。 頑固性水腫 初始：5 mg/天，可依反應增加劑量。 最大：10 毫克/天。 高血壓 0.5-1 毫克/天。 最大：5 毫克/天。
IV 肺水腫 1-2 mg，如果需要，20 分鐘後重複。 IV/IM 緊急水腫0.5-1 mg，然後根據反應調整。
Pregnancy & Lactation
儘管動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
30's pack Price : ৳540
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Manufactured by: Incepta Pharmaceuticals Ltd.
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